Insurance verification​/Prior Auth specialist Saint C

Job Description

We are seeking an Insurance Verification Specialist to assist with verifying benefits and coverage for office visits and surgical procedures. Duties will include obtaining referrals and authorizations prior to the service, verifying insurances at least 1-2 weeks in advance prior to service and ensuring any last-minute services have been authorized and creating clinic schedules. They will also need to obtain pre-authorization from insurance carriers in a timely manner, review denials and follow up with provider to obtain medically necessary information to submit an appeal, and prioritize the incoming authorizations by level of urgency.

Candidates must be proficient with using the various payor sites for verification, must have at least one year of experience with insurance verification for Medicaid, Medicare, and most commercial plans.

Compensation will vary based on experience and skills.

Working hours:

M-F 8:30-5pm (no weekends, no holidays)

Work setting:
In-office only, remote work is not offered.

Looking for full-time 40 hours/week – could possibly consider part time but of minimum 32 hours per week.

Benefits with full-time status:
Medical, Dental, and Vision benefits;
Paid PTO and sick time.

• High school or equivalent (Required)

• Insurance Verification: 1 year (Required)
• Prior Authorization: 1 year (Required)
• Medical terminology: 1 year (Required)
• Computer skills: 1 year (Required)

• Arabic (Preferred, not required)

• Saint Clair Shores, MI 48081:
  Relocate before starting work (Required)

• Not required

Work Location:

In person